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1.内蒙古医科大学第一临床医学院,呼和浩特 010050
2.内蒙古医科大学附属医院肝胆胰脾外科,呼和浩特 010050
任建军,Email:renjj.ok@163.com
纸质出版日期:2023-07-20,
收稿日期:2021-04-01,
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刘少杰, 张乾, 乔建梁, 等. 腹腔镜手术技能训练课程在外科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(7): 1051-1053.
Liu Shaojie, Zhang Qian, Qiao Jianliang, et al. Application of laparoscopic surgery skills training course in the standardized residency training of surgery[J]. Chinese Journal of Medical Education Research, 2023,22(7):1051-1053.
刘少杰, 张乾, 乔建梁, 等. 腹腔镜手术技能训练课程在外科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(7): 1051-1053. DOI: 10.3760/cma.j.cn116021-20210401-01353.
Liu Shaojie, Zhang Qian, Qiao Jianliang, et al. Application of laparoscopic surgery skills training course in the standardized residency training of surgery[J]. Chinese Journal of Medical Education Research, 2023,22(7):1051-1053. DOI: 10.3760/cma.j.cn116021-20210401-01353.
目的
2
探讨腹腔镜手术技能训练课程在外科住院医师规范化培训中的应用效果。
方法
2
选取40名在普通外科进行轮转的外科住院医师规范化培训学员作为研究对象,随机平均分为试验组和对照组。试验组开设腹腔镜手术技能训练课程,课程内容包括理论教学模块、模拟教学模块、虚拟教学模块及临床手术实践教学模块。对照组采用常规的理论教学+临床手术实践教学。课程结束后考核两组学员腹腔镜下抓持传递及缝合打结操作技能,同时对学员和带教教师进行问卷调查。应用SPSS 22.0统计学软件进行
t
检验。
结果
2
试验组与对照组的理论成绩分别为(67.90±13.24)和(69.70±13.46),差异无统计学意义(
P
>
0.05);课后试验组的抓持传递、缝合打结成绩(15.25±3.24、5.45±2.14)高于对照组(11.25±2.12、2.75±1.16),差异具有统计学意义(
P
<
0.01);问卷调查显示学员及带教教师对于腹腔镜技能训练课程反馈“较好”的比例明显高于“一般”和“较差”。
结论
2
腹腔镜手术技能训练课程可提高外科住院医师规范化培训学员的腹腔镜手术技能,缩短学习曲线,使得培训规范化、同质化,值得在规培基地广泛推广和应用。
Objective
2
To explore the application effect of laparoscopic surgery skills training course in the standardized residency training of surgery.
Methods
2
A total of 40 standardized trainees of surgical residents rotating in general surgery were selected as the research objects
and randomly divided into the experimental group and the control group. The experimental group was offered laparoscopic surgery skills training course. The course content includes theoretical teaching module
simulated teaching module
virtual teaching module and clinical surgery practice teaching module. The control group was taught by traditional theory teaching and clinical surgery practice teaching. At the end of the courses
the two groups of students were assessed for their skills in laparoscopic grasping and pass
suture and knotting. At the same time
a questionnaire survey was conducted among the students and teachers. The
t
-test was performed using SPSS 22.0 statistical software.
Results
2
The theoretical scores of the experimental and control groups were (67.90±13.24) and (69.70±13.46)
respectively
with no statistically significant difference (
P
>
0.05). After the courses
the performance of grasping and pass
suture and knotting of the experimental group (15.25±3.24 and 5.45±2.14) was higher than that of the control group (11.25±2.12 and 2.75±1.16)
and the difference was statistically significant (
P
<
0.01).The questionnaire survey showed that the proportion of "better" feedback from students and teachers on laparoscopic skills training courses was significantly higher than that of "general" and "poor".
Conclusion
2
The laparoscopic surgery skills training course can improve the laparoscopic surgery skills of the trainees in the standardized residency training of surgery
shorten the learning curve
and make the training standardized and homogeneous. It is worthy of wide promotion and application in the standardized training base.
腹腔镜技能课程住院医师规范化培训
Laparoscopic skillsCourseStandardized residency training
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